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Health Education Research

S B Birtwistle, G Ashcroft, R Murphy, I Gee, H Poole, P M Watson
Exercise referral schemes aim to increase physical activity amongst inactive individuals with or at risk of long-term health conditions. Yet many patients referred to these schemes (by health professionals) fail to take up the exercise opportunities on offer. Understanding factors influencing uptake to exercise referral schemes may help improve future attendance. Using the Socio-Ecological Model as a framework, this qualitative study aimed to explore factors influencing uptake to an exercise referral scheme based in the North West of England...
October 10, 2018: Health Education Research
G Scaioli, F Bert, M Martorana, R Gili, R Thomas, M R Gualano, R Siliquini
Given the increasing popularity of electronic cigarettes (ECs) and a lack of regulation of EC advertising, this study aimed to analyse online videos promoting ECs to assess the main marketing messages that could influence consumers' perceptions of associated risks and benefits. A web search of EC advertising videos was performed on YouTube by using keywords related to EC promotion. An evaluation grid was used to analyse promotional messages contained in each video. The most frequent promotional messages were related to health benefits (67...
September 20, 2018: Health Education Research
C F Ruggiero, L Poirier, A C B Trude, T Yang, T Schwendler, B Gunen, I H Loh, K Perepezko, C S Nam, P Sato, J Gittelsohn
B'More Healthy Communities for Kids was a multi-level, multi-component obesity prevention intervention to improve access, demand and consumption of healthier foods and beverages in 28 low-income neighborhoods in Baltimore City, MD. Process evaluation assesses the implementation of an intervention and monitor progress. To the best of our knowledge, little detailed process data from multi-level obesity prevention trials have been published. Implementation of each intervention component (wholesaler, recreation center, carryout restaurant, corner store, policy and social media/text messaging) was classified as high, medium or low according to set standards...
September 7, 2018: Health Education Research
Anjali Rameshbabu, Diane M Reddy, Katie A Ports
This intervention sought to bring about a dietary behavior change among individuals who are vulnerable to negative health outcomes and behaviors. Using a randomized controlled trial, we examined the efficacy of a six-week Education + Self-Regulation intervention against an Education Only condition in reducing saturated fat intake among custodial workers (N = 54). Assessments were made at baseline, 4 weeks, 6 weeks and 6 months. The intervention group reported lower saturated fat intake and greater self-regulation than the Education Only control group throughout the intervention period and higher self-efficacy at week 6...
August 31, 2018: Health Education Research
Margaret M Thomas, Philayrath Phongsavan, Bronwyn McGill, Blythe J O'Hara, Adrian E Bauman
Physical inactivity is a major contributor to non-communicable disease and people of low socioeconomic status (SES) are more likely to be insufficiently active. Physical activity mass media campaigns aim to increase physical activity participation, but little is known about their impact on low SES groups. We reviewed the published literature from 1990 to June 2016 to identify reports of physical activity mass media campaigns. We documented evaluation/study design, target population, campaign outcomes assessed, SES measures used and analysed the results of the SES comparisons...
October 1, 2018: Health Education Research
N M Ja, J S Tiffany
The benefits of positive parent-adolescent relationships and effective communication on sexual risk have been demonstrated among minority parents and teenagers. However, there is need for illuminating how structural inequalities, such as economic disadvantage and being an ethnic/racial minority, shape parents' approaches to adolescent sexuality. Schalet's cultural framework describes White middle-income Dutch parents' 'normalization' (i.e. support for self-regulated sexuality, healthy relationships and normalization of teenage sexuality) versus White middle-income American parents' 'dramatization' (i...
October 1, 2018: Health Education Research
N H Kime, A Pringle, M J Rivett, P M Robinson
Physical activity is a key component in the management of diabetes, but most people do not engage in recommended levels of physical activity. A recent consensus statement on exercise management in type 1 diabetes (T1D) fails to mention behavioral change and the specific determinants impacting on exercise management. The aim of this study is to investigate the needs of adults with T1D around physical activity and the challenges they face. Using a person-centered approach, focus groups and individual semi-structured interviews recorded the perspectives of 67 adults aged ≥18 with diabetes...
October 1, 2018: Health Education Research
Chloe S Gordon, Sandra C Jones, Lisa K Kervin, Steven J Howard
Advertisements are persuasive texts designed to communicate ideas explicitly and implicitly through visual grammar. Counter-advertisements allow students to engage with advertising texts as creators rather than consumers and challenge media messages. Based in critical media literacy theory, this paper explores how elementary students interpret and redesign advertisements to create meaning. This study focused on the messages upper-elementary school students created about alcohol following a 10-lesson alcohol media literacy programme...
October 1, 2018: Health Education Research
Fovzieh Sanaati, Sakineh Mohammad-Alizadeh Charandabi, Hamidreza Farrokh Eslamlo, Mojgan Mirghafourvand
This randomized controlled trial was conducted on 189 pregnant women to determine the effect of lifestyle-based training for women and their husbands on post-partum anxiety (PPA) and depression (PPD). Follow-ups were continued up for 6 weeks after childbirth. Participants were allocated to three groups using block randomization. In the first intervention group, both the women and their husbands, and in the second intervention group only the women received the lifestyle-based education. In the control group, women received only routine care...
October 1, 2018: Health Education Research
Carla Rodriguez-Sanchez, Franco Sancho-Esper, Luis V Casaló
Despite its potentially harmful effects, adolescent binge drinking is becoming increasingly common worldwide. To enable the design of more effective school information campaigns, the underlying factors of heavy alcohol use must be carefully analysed. This study investigated how individual, social and contextual factors relate to adolescent binge drinking. It also explored whether adolescents' exposure to information campaigns at school moderates the relationships between perceived parental and peer alcohol consumption and adolescent binge drinking...
October 1, 2018: Health Education Research
Michelle I Jongenelis, Iain S Pratt, Terry Slevin, Tanya Chikritzhs, Wenbin Liang, Simone Pettigrew
Informing drinkers of the health risks associated with alcohol consumption via warning statements located on alcohol products can increase their capacity to make healthier choices. This study assessed whether exposing at-risk drinkers to warning statements relating to specific chronic diseases increases the extent to which alcohol is believed to be a risk factor for those diseases and influences consumption intentions. Australians drinking at levels associated with long-term risk of harm (n = 364; 72% male) completed an online survey assessing their drinking habits, beliefs in the link between alcohol and various diseases and drinking intentions...
October 1, 2018: Health Education Research
Xian-Liang Liu, Chiung-Jung Jo Wu, Karen Willis, Yan Shi, Maree Johnson
This study examined the impact of inpatient education on diabetes knowledge, acute coronary syndrome (ACS) symptom management and diabetes self-management on discharge for patients with ACS and type 2 diabetes mellitus (T2DM). A cross-sectional survey and patient health record review of 160 patients was conducted in a major hospital in Shanghai. Patient education received was measured using a visual analogue scale. The survey included valid and reliable measures of diabetes knowledge, self-efficacy, attitudes to ACS and clinical outcomes...
October 1, 2018: Health Education Research
John K Krugu, Fraukje E F Mevissen, Gerard Van Breukelen, Robert A C Ruiter
In sub-Saharan Africa, theory and evidenced-based interventions that are systematically designed and using sound evaluation methods to report on effectiveness are limited. A sex education programme called SPEEK was developed, implemented and evaluated in Ghana using the Intervention Mapping approach. SPEEK aimed at delaying sexual initiation, reducing sexually transmitted infections (STIs) and preventing pregnancy, targeting junior high school students in a West African rural setting. The final programme included 11 (interactive) lessons using a diverse range of theory-based methods...
August 1, 2018: Health Education Research
Reza Sadeghi, Mehri Hashemi, Narges Khanjani
Providing health care services has always been considered as a hazardous job due to a number of reasons. The risk of blood-borne viruses and the importance of their prevention has led to the formulation of principles called standard precautions (SPs). The goal of this study was to investigate the impact of an educational intervention based on the Health Belief Model constructs on the behavior of nurses in emergency centers regarding observing SPs in Sirjan, Iran. This was a quasi-experimental study. The study population included 100 emergency personnel working in health centers in Sirjan city (of Iran), who were randomly divided into two intervention (n = 50) and control (n = 50) groups...
August 1, 2018: Health Education Research
Faika Zanjani, Hannah K Allen, Nancy Schoenberg, Catherine Martin, Richard Clayton
Risk of experiencing alcohol and medication interactions (AMI) is significant among older adults due to the substantial prevalence of alcohol and medication use in this segment of the population. Given the lack of community-level AMI prevention interventions for older adults, this study aimed to examine the immediate effects of a brief, pharmacy-based intervention to prevent AMI among older adults, as well as assess differential effects by past-month drinking status. A convenience sample of 134 adults aged 59 and older was recruited from four pharmacies in rural Virginia...
August 1, 2018: Health Education Research
Michelle C Kegler, Derrick D Beasley, Shuting Liang, Megan Cotter, Emily Phillips, April Hermstad, Rentonia Williams, Jeremy Martinez, Kara Riehman
Guided by the Consolidated Framework for Implementation Research (CFIR), this study aimed to identify factors that influence implementation of evidence-based provider and client-oriented strategies to promote colorectal cancer (CRC) screening in safety net health systems. Site visits and key informant interviews (n=33) were conducted with project leaders and staff in five health systems funded by an American Cancer Society grants program. Within- and cross-site analyses identified CFIR constructs that influenced implementation of provider and client-oriented strategies to promote CRC screening through colonoscopies and fecal immunochemical tests...
August 1, 2018: Health Education Research
J Berria, G Minatto, L R A Lima, C R Martins, E L Petroski
To identify the predictors of dropout in the 'Mexa-se' intervention according to the body mass index (BMI) category. This was a controlled, non-randomized study. The intervention included: (i) increase in the intensity of physical activities (PA) in physical education (PE) classes; (ii) active recess; (iii) educational sessions on PA, nutrition and body image; and (iv) educational materials. Dropout was considered when students dropped out of intervention, or did not reach 75% attendance in PE classes. The independent variables were gender, age, study period, socioeconomic status, BMI, PA, screen time, food consumption, health perception, attitudes toward PA, self-efficacy for PA, perception of the school environment, body image and self-esteem...
August 1, 2018: Health Education Research
Yiyi Yang, Lu Tang
Alcohol consumption poses significant health and safety risks to women. Understanding why women drink and how they experience drinking is the first step in creating efficacious interventions and effective social support programs. Presented here is a qualitative study examining stories women told about drinking on a blog: Eighty-nine stories categorized as 'in-depth, personal and insightful essays' were analysed and four narratives were identified about women's drinking in different stages in their lives: youth (narrative of good girl and narrative of bad girl), adulthood (narrative of pleasure) and old age (narrative of sin)...
August 1, 2018: Health Education Research
R Haardörfer, M Kreuter, C J Berg, C Escoffery, L T Bundy, M Hovell, P D Mullen, R Williams, M C Kegler
The aim of this study was to assess the effect of a creating a smoke-free home (SFH) on cessation and reduction of cigarette smoking on low-income smokers. This secondary data analysis uses data from study participants who were originally recruited through 2-1-1 information and referral call centers in Atlanta (Georgia, 2013), North Carolina (2014) and the Texas Gulf Coast (2015) across three randomized controlled trials testing an intervention aimed at creating SFHs, pooling data from 941 smokers. Participants who reported adopting a SFH were more likely to report quitting smoking than those who did not adopt a SFH...
June 1, 2018: Health Education Research
M S Pednekar, E M Nagler, P C Gupta, P S Pawar, N Mathur, K Adhikari, L S Codeira, A M Stoddard, G Sorensen
Research on processes of bringing effective tobacco control interventions to scale to increase quit rates among tobacco users is uncommon. This study examines processes to bring to scale one such intervention for school teachers, i.e. Tobacco Free Teacher-Tobacco Free Society (TFT-TFS). This intervention provides a foundation for an effective and low cost approach to promote cessation through schools. The present study was conducted in the states of Bihar and Maharashtra in 2014 using quantitative and qualitative methods...
June 1, 2018: Health Education Research
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